Billing Information

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Thank you for choosing Berwick Clinic Company providers to provide medical care to you and/or your family member(s). Please review the following financial policies:

Insurance We participate in most major insurance plans, including Medicare. If you are not insured by a plan we participate with, payment in full is expected at each visit. The patient or financial guarantor is responsible for knowing the patient's insurance benefits. If the insurance company does not pay a claim within forty-five days, the balance will be billed to the patient.

Co-Payments Co-payments must be paid at the time of service. This arrangement is part of our contract with many insurance carriers. Failure to collect co-payments and deductibles could be considered fradulent. We reserve the right to reschedule any appointment if the patient is not prepared to remit the co-payment.

Non-Covered Services Some services we provide may not be covered and/or may not be considered reasonable or medically necessary by certain insurance plans. The patient is responsible for payment of charges resulting from such services.

Proof of Insurance Patients are expected to bring their current insurance card to each visit.

Claim Submission We will submit insurance claims on the patient's behalf, as well as assist in a reasonable to help get the claims paid. Please keep in mind that the balance is the patient's responsibility at all times and is responsible for assisting in obtaining reimbursement.

Non-Payment Patients with an outstanding balance will receive a monthly statement. Payment in full or an acceptable payment arrangment must be made prior to future appointments. If a balance remains unpaid, we may refer a patient's account to a collections agency.

Returned Checks A thirty dollar ($30.00) charge will be assessed for each check returned by a financial institution for any reason.

Disability or Insurance Forms There is a ten dollar ($10.00) charge for the completion of each medical form, with payment due at the time the form is picked up. Please allow seven to ten days for proper form completion.

Treatment of Minors The adult accompanying the minor is responsible for payments to the account. Unaccompanied minors presenting for non-emergency treatment will be rescheduled unless proper consent and payment arrangements have been made.